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Louisiana rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $407.38 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $912.01